complaint·August 22, 2023

The other 3 residents were not available to be interviewed as 2 were sleeping and 1 was with visiting family. Interviews with 3 out of 3 staff denied allegations that the staff is not meeting resident’s needs. Based on interviews with 3 out of 3 staff indicated they take care of the residents to the best of their ability. 3 out of 3 staff indicated they not yelled at a resident. 3 out of 3 staff reported that they have not been disrespectful to the residents. Per review of Resident 1 (R1) physician’s report dated 03/17/2022 R1 entered the facility with a Stage 1 wound, and it was noted on hospital discharge paperwork that R1 would be discharged with home health to assist with wound care. 3 out of 3 staff indicated they did not see the wound getting worse. Based on review of the physician report R1 has a history of skin breakdown. Therefore, based on the preponderance of evidence through record review and interviews the allegation Facility staff are not meeting resident's needs and resident sustained an unstageable pressure injury are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. This agency has investigated this complaint. No deficiencies cited. An exit interview was conducted and a copy of this report this report was provided to facility administrator.